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. 1990 Jun 30;300(6741):1679–1682. doi: 10.1136/bmj.300.6741.1679

ABO blood group and ischaemic heart disease in British men.

P H Whincup 1, D G Cook 1, A N Phillips 1, A G Shaper 1
PMCID: PMC1663328  PMID: 2390546

Abstract

OBJECTIVE--To establish whether ABO blood group is related to ischaemic heart disease on an individual and geographic basis in Britain. DESIGN--Prospective study of 7662 men with known ABO blood group selected from age-sex registers in general practices in 24 British towns. MEASUREMENTS--ABO blood group, standard cardiovascular risk factors, social class, and presence or absence of ischaemic heart disease determined at entry to study. END POINTS--Eight year follow up of fatal and nonfatal ischaemic heart disease events achieved for 99% of study population. RESULTS--Towns with a higher prevalence of blood group O had higher incidences of ischaemic heart disease. In individual subjects, however, the incidence of ischaemic heart disease was higher in those with group A than in those with other blood groups (relative risk 1.21, 95% confidence limits 1.01 to 1.46). Total serum cholesterol concentration was slightly higher in subjects of blood group A. No other cardiovascular risk factor (including social class) was related to blood group. CONCLUSIONS--Blood group A is related to the incidence of ischaemic heart disease in individual subjects. Geographic differences in the distribution of ABO blood groups do not explain geographic variation in rates of ischaemic heart disease in Britain. The findings do not support the view that ABO blood group and social class are related.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allan T. M., Dawson A. A. ABO blood groups and ischaemic heart disease in men. Br Heart J. 1968 May;30(3):377–382. doi: 10.1136/hrt.30.3.377. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BRONTE-STEWART B., BOTHA M. C., KRUT L. H. ABO blood groups in relation to ischaemic heart disease. Br Med J. 1962 Jun 16;1(5293):1646–1650. doi: 10.1136/bmj.1.5293.1646. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Beardmore J. A., Karimi-Booshehri F. ABO genes are differentially distributed in socio-economic groups in England. Nature. 1983 Jun 9;303(5917):522–524. doi: 10.1038/303522a0. [DOI] [PubMed] [Google Scholar]
  4. Bruce N. G., Shaper A. G., Walker M., Wannamethee G. Observer bias in blood pressure studies. J Hypertens. 1988 May;6(5):375–380. [PubMed] [Google Scholar]
  5. Cook D. G., Shaper A. G., Pocock S. J., Kussick S. J. Giving up smoking and the risk of heart attacks. A report from The British Regional Heart Study. Lancet. 1986 Dec 13;2(8520):1376–1380. doi: 10.1016/s0140-6736(86)92017-9. [DOI] [PubMed] [Google Scholar]
  6. Elford J., Phillips A. N., Thomson A. G., Shaper A. G. Migration and geographic variations in ischaemic heart disease in Great Britain. Lancet. 1989 Feb 18;1(8634):343–346. doi: 10.1016/s0140-6736(89)91722-4. [DOI] [PubMed] [Google Scholar]
  7. Havlik R. J., Feinleib M., Garrison R. J., Kannel W. B. Blood-groups and coronary heart-disease. Lancet. 1969 Aug 2;2(7614):269–270. doi: 10.1016/s0140-6736(69)90036-1. [DOI] [PubMed] [Google Scholar]
  8. Kelleher C., Cooper J., Sadlier D. ABO blood group and social class: a prospective study in a regional blood bank. J Epidemiol Community Health. 1990 Mar;44(1):59–61. doi: 10.1136/jech.44.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Langman M. J., Elwood P. C., Foote J., Ryrie D. R. ABO and Lewis blood-groups and serum-cholesterol. Lancet. 1969 Sep 20;2(7621):607–609. doi: 10.1016/s0140-6736(69)90323-7. [DOI] [PubMed] [Google Scholar]
  10. Lopes-Virella M. F., Stone P., Ellis S., Colwell J. A. Cholesterol determination in high-density lipoproteins separated by three different methods. Clin Chem. 1977 May;23(5):882–884. [PubMed] [Google Scholar]
  11. Medalie J. H., Levene C., Papier C., Goldbourt U., Dreyfuss F., Oron D., Neufeld H., Riss E. Blood groups, myocardial infarction and angina pectoris among 10,000 adult males. N Engl J Med. 1971 Dec 9;285(24):1348–1353. doi: 10.1056/NEJM197112092852404. [DOI] [PubMed] [Google Scholar]
  12. Mitchell J. R. An association between abo blood-group distribution and geographical differences in death-rates. Lancet. 1977 Feb 5;1(8006):295–297. doi: 10.1016/s0140-6736(77)91838-4. [DOI] [PubMed] [Google Scholar]
  13. Oliver M. F., Geizerova H., Cumming R. A., Heady J. A. Serum-cholesterol and ABO and rhesus blood-groups. Lancet. 1969 Sep 20;2(7621):605–606. doi: 10.1016/s0140-6736(69)90322-5. [DOI] [PubMed] [Google Scholar]
  14. Rosenberg L., Miller D. R., Kaufman D. W., Helmrich S. P., Van de Carr S., Stolley P. D., Shapiro S. Myocardial infarction in women under 50 years of age. JAMA. 1983 Nov 25;250(20):2801–2806. [PubMed] [Google Scholar]
  15. Shaper A. G., Cook D. G., Walker M., Macfarlane P. W. Prevalence of ischaemic heart disease in middle aged British men. Br Heart J. 1984 Jun;51(6):595–605. doi: 10.1136/hrt.51.6.595. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Shaper A. G., Cook D. G., Walker M., Macfarlane P. W. Recall of diagnosis by men with ischaemic heart disease. Br Heart J. 1984 Jun;51(6):606–611. doi: 10.1136/hrt.51.6.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Shaper A. G., Pocock S. J., Walker M., Cohen N. M., Wale C. J., Thomson A. G. British Regional Heart Study: cardiovascular risk factors in middle-aged men in 24 towns. Br Med J (Clin Res Ed) 1981 Jul 18;283(6285):179–186. doi: 10.1136/bmj.283.6285.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Shaper A. G., Pocock S. J., Walker M., Phillips A. N., Whitehead T. P., Macfarlane P. W. Risk factors for ischaemic heart disease: the prospective phase of the British Regional Heart Study. J Epidemiol Community Health. 1985 Sep;39(3):197–209. doi: 10.1136/jech.39.3.197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Walker M., Shaper A. G. Follow-up of subjects in prospective studies based in general practice. J R Coll Gen Pract. 1984 Jul;34(264):365–370. [PMC free article] [PubMed] [Google Scholar]

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